Dictionary

Spear

Industrial standard name for investigation

Argus

General investigations (Background, Social Media, Statement, …)

• Statements
• Surveillance
• Background
• Social Media
• Medical Canvas
• Auto
• GL
• Homeowner
• Inland Marine

Limos

The specific investigation department that only handles liens

Athena

SIU (Special Investigation Unit):

• Claimant
• Provider
• Premium

Pantheon

Urania

Midas

Adjuster / PrimaryContact (ClientContact)

The person who handles the claim. Generally an adjuster working at an insurance company handling an insurance claim.

Carrier (ProgramLocation)

The company providing the policy, bearing the financial risk, and paying claims.

Client (Carrier, TPA, MGA)

Our client

Case Type

Each department can have one or more case types.

Claim Number

Generated by insurance companies to handle cases.

ADJ Number

Generated by DWC (Division of Workers’ Compensation) through EAMS (Electronic Adjudication Management System). One ADJ number per claim number regardless of the number of providers.

NPI Number

Medical provider’s identification number. Each individual provider has generally one Type-1 NPI number. Type-2 NPI number is used for organizations.

Applicant Attorney

Defense Attorney

Subject / Claimant

Claimant is the person or entity who formally requests compensation for an insurance company. The subject can be just an associate to the claimant.

Other

Title

HD (Hard Due)

Client’s due date for the case